Engelsk titel: Alleviation of terminal secretions in the palliative patient
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Författare:
Uhrenholt, Lene
;
Bröndum, Lotte
Email: lbk@hospicelimfjord.dk
Språk: Dan
Antal referenser: 10
Dokumenttyp:
Artikel
UI-nummer: 14103662
Sammanfattning
Terminal secretions produce an audible rattling respiration in the terminally ill and consciously
impaired, which can arise in the last 48 hours of the patient's life. This little study examines whether
suctioning in the upper part of the pharynx can reduce rattling and how patients and their families
react to the use of suctioning. 18 patients were included, all of whom were admitted to Hospice
Limfjord during the period 1 April 2013 to 1 April 2014. The rattling was assessed using the Victoria
Respiratory Congestion Scale. The data material for the 18 patients shows that suctioning reduced
congestion when it was used alone and that suctioning combined with changing the patient's position
and Robinul prior to suctioning had an effect on the rattling noise, which was reduced in 72 percent of
patients. Five of the 18 patients reacted to the suctioning, and it cannot be ruled out that some of
these patients were bothered by the suctioning. All family members reacted positively to the
suctioning. A single family member was both positive and negative. Overall, suctioning in the
objective of reducing audible rattling is deemed to help family members be with the patient.